2018年四川省成人糖尿病流行现状及其影响因素分析

目的 了解四川省成人常住居民糖尿病患病情况及其影响因素,为有效预防糖尿病,降低发病风险提供科学的依据。方法 2018年采用多阶段分层整群随机抽样的方法,抽取四川省18岁及以上常住居民进行身体测量、问卷调查、实验室检测。采用SAS 9.4分析四川省成人糖尿病流行情况和患病影响因素。结果 2018年四川省成人糖尿病患病率12.94%,其中男性患病率为13.09%,女性患病率为12.79%,差异无统计学意义(χ²=3.964,P=0.460); 年龄增长(与18～44岁组相比,75岁及以上OR=6.070,95%CI:3.792～9.716)、职业(与农业生产人员相比,离退休人员OR=1.781,95%CI:1.277～2.484)、锻炼频率(与每周0次相比,每周1～3次OR=0.439,95%CI:0.281～0.686)、血脂异常(OR=2.069,95%CI:1.693～2.528)、中心性肥胖(OR=1.938,95%CI:1.619～2.320)、高血压(OR=2.031,95%CI:1.583～2.606)、糖尿病家族史(OR=2.825,95%CI:1.658～4.813)是糖尿病患病的影响因素。结论 四川省糖尿病患病率处于较高水平,每周锻炼1～3次是预防糖尿病的保护因素,年龄增加、离退休人员、血脂异常、中心性肥胖、高血压、糖尿病家族史是糖尿病患病的危险因素,应进一步开展针对性的预防干预措施。

Prevalence and its risk factors of diabetes among adults in Sichuan, 2018

Objective To know the prevalence and risk factors of diabetes among permanent residents of adult in Sichuan province, to provide scientific basis for effectively preventing diabetes and to reduce the risk of it. Methods Permanent residents over 18 years old in Sichuan province were investigated by multi-stage stratified cluster sampling method. They were given a physical examination, questionnaire investigation, and laboratory test. SAS9.4 was used to analyze the prevalence of diabetes and its influencing factors among adult in Sichuan. Results The prevalence rate of diabetes among adult in Sichuan province was 12.94%, of which male was 13.09% and female was 12.79%. There was no significant difference between them(χ²=3.964, P=0.460). The increasing of age(compared with 18-44 years old group, OR of the people aged 75 and above was 6.070, 95%CI:3.792-9.716), profession(compared with agricultural production personnel, retiree OR=1.781, 95%CI:1.277-2.484), exercise frequency(compared with 0 times a week, 1-3 times per week OR=0.439, 95%CI:0.281-0.686), dyslipidemia(OR=2.069, 95%CI:1.693-2.528), central obesity(OR=1.938, 95%CI:1.619-2.320), hypertension(OR=2.031, 95%CI:1.583-2.606)and diabetes family history(OR=2.825, 95%CI:1.658-4.813)were influencing factors of diabetes. Conclusion The prevalence of diabetes in Sichuan province is at a high level. Exercise 1-3 times per week is a protective factor against diabetes, the increasing of age, retiree, dyslipidemia, central obesity, hypertension and diabetes family history are risk factors of it. So further targeted preventive intervention measures should be carried out.